For Medical Trauma
Surviving Cancer Competently Intervention Program (SCCIP)
SCCIP is a manualized, multi-family intervention for adolescent survivors of childhood cancer, their parents and siblings. SCCIP, a trauma informed care intervention, addresses and helps families cope with posttraumatic stress symptoms related to cancer and its treatment and improve family communication and support post-treatment. SCCIP can be implemented by trained medical and mental health professionals.
The SCCIP intervention was reviewed and approved for inclusion in the National Cancer Institute's (NCI) list of Research-tested Intervention Programs and in the US Substance Abuse Mental Health Services Administration's National Registry of Evidence Based Programs and Practices
Surviving Cancer Competently Intervention Program - Newly Diagnosed (SCCIP-ND) (PDF)
SCCIP-ND is a brief, manualized intervention for parents and caregivers of children newly diagnosed with cancer. Integrating cognitive-behavioral and family-systems interventions, SCCIP-ND targets early traumatic stress responses and helps parents support their child's and family's coping with cancer and its treatment. SCCIP-ND can be implemented by trained medical and mental health professionals and can be part of the patient centered care plan.
Understanding Child – Parent Distress Handouts
To implement trauma informed practices, the two handouts (below) adapted from the SCCIP-ND intervention can be used by medical and mental health professionals working with ill and injured children and families. By including these handouts in the patient centered care plan, providers may help children and families understand the role of beliefs and consequences that may be fueling their distress as well as identifying more effective ways of managing their distress.
"A-B-C" handout for children and parents (PDF) (adapted from SCCIP-ND) The A-B-C (Adversity-Beliefs-Consequences) handout is a useful tool for helping children and parents understand how their distressing thoughts and beliefs impact their feelings, actions and relationships.
For example, during a painful procedure or treatment (adversity), a child or parent may think:
- "I can't handle this" (thought / belief)
- which may lead to feelings of anxiousness, fear, or guilt (consequence #1)
- and might cause the child / parent to withdrawal from or avoid treatment (consequence #2)
- which might lead to disagreements and arguments between the child and/or parent and/or provider.
"4 Steps to Reframing" handout for children and parents (PDF) (adapted from SCCIP-ND)
The 4-steps handout is a useful tool to helping children and parents manage distressing thoughts and adversities. By helping children and families specifically identify what they can and cannot control, they are often able to see that some of their own thoughts and behaviors are within their control.
In addition, by helping them further identify and apply their coping strengths to the situation, they can often see that they bring some positive coping to the situation and use it to their benefit.
Trauma Informed Practices for Other Type of Trauma
Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) (web-based learning course)
TF-CBT is an evidence-based, manualized trauma informed care intervention that helps children and parents process thoughts and feelings related to traumatic life events; manage and resolve distressing thoughts, feelings, and behaviors; and enhance safety, growth, parenting skills, and family communication. TF-CBT incorporates trauma informed care intervention with cognitive behavioral, family, and humanistic techniques. In controlled studies, over 80 percent of traumatized children who received TF-CBT experienced significant improvement after 12 to 16 weeks of treatment. TF-CBT can be implemented by trained mental health professionals.
- TF-CBT was reviewed and approved for inclusion in the US Substance Abuse Mental Health Services Administration's National Registry of Evidence Based Programs and Practices
Cognitive-Behavioral Therapy for Child Traumatic Grief (TG-CBT) (web-based learning course)
An adaptation of TF-CBT, TG-CBT is a manualized treatment program that helps children and teens who have experienced the traumatic death of a loved one, and are having difficulties as a result. Using the same principles as TF-CBT, the program children and their parents learn to cope with the trauma of the death, sort through their feelings of grief, and re-negotiate relationships. TG-CBT can be implemented by mental health professionals with prior training in TF-CBT.
Cognitive Behavioral Intervention for Trauma in Schools
CBITS is a 10-session weekly group trauma informed care intervention for school-aged children who have experienced trauma at home or in the community. Founded on cognitive-behavioral therapy, CBITS teaches coping and problem-solving skills aimed at reducing a child's traumatic stress symptoms and improving their ability to handle future stresses. CBITS is designed to be delivered by school mental health clinicians such as social workers, psychologists, and other clinicians.
- CBITS was reviewed and approved for inclusion in the US Substance Abuse Mental Health Services Administration's National Registry of Evidence Based Programs and Practices
Real Life Heroes
Real Life Heroes utilizes an activity-based workbook to help children with traumatic stress build the skills and interpersonal resources needed to re-integrate painful memories and to foster healing after abuse, neglect, family violence, severe illness, losses, deaths, or abandonment. The workbook utilizes creative arts and life story work to engage children and caring adults in trauma informed care intervention and attachment-centered therapy and to rebuild (or build) positive, enduring relationships between hurt (and often hurting) children and adults committed to guiding children into adulthood. The curriculum integrates nonverbal and verbal modalities and helps children and caring adults move step-by-step from trauma narratives to life stories highlighting mastery, helping others, and nurturing relationships.
- Real Life Heroes was reviewed and approved for inclusion in the US Substance Abuse Mental Health Services Administration's National Registry of Evidence Based Programs and Practices